■\'2020年愿景,有权看到\',由世界卫生组织的防盲和耳聋计划和国际防盲机构共同协调,然而,于1999年推出,该计划在实现目标方面面临许多挑战。对此的挑战之一是,缺乏关于非洲糖尿病患者眼部护理服务利用的全面数据。因此,本研究旨在评估非洲成年糖尿病患者中眼部护理服务利用率和相关因素.
■本系统评价和荟萃分析按照系统评价和荟萃分析方案(PRISMA)指南的国际首选报告项目进行。使用信誉良好的数据库(PubMed,Cochrane图书馆)和网络搜索(科学直接,非洲在线期刊,和谷歌学者)。质量评估是根据JoannaBriggs研究所(JBI)的关键评估清单进行评估的。提取的数据导出到STATA版本11(STATACorp.,LLC)进行进一步分析。使用Cochran的Q卡方检验评估主要研究结果之间的异质性,并使用I2统计量进行量化。通过目视检查漏斗图和Egger回归测试来评估发表偏差。
■数据库搜索找到了26,966篇文章。非洲糖尿病患者的眼部护理服务利用率为40.92%(95%CI:27.14-54.70,P<0.001)。良好的知识(POR=3.57,95%CI:2.67-4.76),良好的态度(POR=5.68,95%CI:4.20-7.68),年龄大于65岁(POR=7.11,95%CI:3.86-13.10),城市住宅(POR=5.03,95%CI:2.12-11.96),病程大于6年(POR=3.81,95%CI:2.25-6.45)是与眼部护理服务利用率相关的因素。
■这项荟萃分析显示,很大一部分糖尿病患者没有使用眼部护理服务。年纪大了,良好的知识,研究发现,居住在城市和患病时间较长是糖尿病患者利用眼部护理服务的因素。因此,考虑到眼部护理服务利用率低的负面影响,重要的是要改善定期筛查眼睛的习惯,以年龄较大,病程较长的患者为目标,对糖尿病进行常规评估随访,以减少问题的严重程度。
UNASSIGNED: \'Vision 2020, the Right to Sight\', jointly coordinated by the World Health Organization\'s program for the prevention of blindness and deafness and the international agency for the prevention of blindness, was launched in 1999, however, the initiative faces many challenges to hitting its target. One of the challenges for this is, the absence of comprehensive data regarding eye care service utilization among diabetes mellitus patients in
Africa. Therefore, this study was aimed at assessing the prevalence of eye care service utilization and associated factors among adult diabetes mellitus patients in
Africa.
UNASSIGNED: This systematic review and meta-analysis was conducted as per the international preferred reporting items for systematic review and meta-analysis protocols (PRISMA) guidelines. Published articles were searched using reputable databases (PubMed, Cochrane Library) and Web searches (Science Direct, African Journals Online, and Google Scholar). Quality appraisal was assessed based on the Joanna Briggs Institute\'s (JBI) critical appraisal checklist. The extracted data was exported to STATA version 11 (STATA Corp., LLC) for further analysis. Heterogeneity between the results of primary studies was assessed using Cochran\'s Q chi-square test and quantified with the I2 statistics. Publication bias was assessed by visual inspection of the funnel plot and Egger\'s regression tests.
UNASSIGNED: The database search found 26,966 articles. The pooled prevalence of eye care service utilization among diabetic patients in
Africa is found to be 40.92 % (95 % CI: 27.14-54.70, P < 0.001). Good knowledge (POR = 3.57, 95 % CI: 2.67-4.76), good attitude (POR = 5.68, 95 % CI: 4.20-7.68), age greater than 65 years old (POR = 7.11, 95 % CI: 3.86-13.10), urban residence (POR = 5.03, 95 % CI: 2.12-11.96), and disease duration greater than 6 years (POR = 3.81, 95 % CI: 2.25-6.45) were factors associated with eye care service utilization.
UNASSIGNED: This meta-analysis revealed that a high proportion of people with diabetes failed to use eye care services. Older age, good knowledge, urban residence and longer duration of illness were found to be the contributing factors for the utilization of eye care services in diabetes mellitus patients. Therefore, by considering the negative impact of low eye care service utilization, it is important to improve the habit of regular screening of the eye into routine assessment of diabetes mellitus follow up targeting patients with older age and longer duration of illness to reduce the magnitude of the problem.